The Cleveland Group, Inc.

13 / 24

VOLUNTARY PLAN
2017 Employee Benefits
11
Overview
Benefit Benefit Amount Lifetime Maximum
Annual Hospitalization Confinement Benefit
(does not include emergency rooms)
Sickness: $400 per day
Injury: $500 per day
None
Daily Hospital Confinement Benefit
(does not include emergency rooms)
$100 per day None
Rehabilitation Unit Benefit $100 per day None
Surgical Benefit Up to $1,000 None
Outpatient Surgical Room Charge Benefit
With General Anesthesia $300
Without General Anesthesia $100
None
Invasive Diagnostic Exam Benefit
$100 for required arthroscopy, bronchoscopy,
colonoscopy, cystoscopy, gastroscopy, larygnoscopy,
sigmoidoscopy, esophagoscopy, or myringoscopy
None
Overview
Benefit Benefit Amount Lifetime Maximum
Initial Treatment $3,000 $3,000
Injected Chemotherapy $900 once per calendar week None
Radiation Therapy $500 once per calendar week None
Surgical Benefit Up to $1,000 None
Stem Cell Transplantation $10,000 $10,000
Bone Marrow Transplantation
Covered Person $10,000
Donor $1,000
Surgical/Anesthesia Up to $5,000 None
Hospital Confinement 1- 30 days
Named Insured/Spouse $300 per day None
Dependent Child $375 per day None
Outpatient Hospital $300 per day None
Hospice Up to $5,000 None
Day 1 $1,000 (one time benefit) None
Additional Days $50 per day None
Nursing Services $150 per day None
Additional Information
Monthly Contribution
Contact Information
General Information
1.800.992.3522
To Enroll for Coverage
Micah Messer
1.678.787.9627
Voluntary Services by AFLAC
Hospital Confinement Indemnity Insurance
Whether you're in the hospital for a few days or a few weeks, cash benefits from AFLAC's hospital confinement
indemnity insurance policy will help you pay for the associated expenses - either medical or unexpected out of pocket.
$10,000
Cancer Indemnity Insurance
Benefits are paid only for Covered Persons who receive Physician-prescribed treatment approved by the National
Cancer Institute (NCI) or the Food and Drug Administration for Cancer or an Associated Cancerous Condition, as
applicable.
Both plans have limitations and exclusions
AFLAC Coverage is paid 100% by the Employee. Rates are based on plan selected and the participants age.
Please see Brenda Lee for more information on pricing.